AAPC CPC - Certified Professional Coder (CPC) Exam

U07.1 = COVID-19

J12.82 = Pneumonia due to COVID-19This follows COVID-19 coding guidelines for confirmed cases.

The place of service code 22 is used for services performed in an outpatient hospital setting, including outpatient surgical floors. This code indicates that the procedure was done in a hospital but not requiring an inpatient admission.

AMA ' s CPT® Professional Edition (current year), Place of Service Codes.

In medical billing, Place of Service (POS) code 31 is used to indicate that a service was performed in a skilled nursing facility (SNF). POS codes are standardized by the Centers for Medicare & Medicaid Services (CMS) to specify the location where services are provided.

A. 32 refers to a nursing facility (NF), which is different from a skilled nursing facility in terms of the level of care provided.

B. 20 indicates urgent care facility.

C. 22 is used for outpatient hospital services.

Thus, the correct answer is D. 31 for a skilled nursing facility.

Cesarean Delivery with Antepartum and Postpartum Care: The procedure involved the cesarean section delivery of twins, including antepartum and postpartum care.

CPT Code 59510: This code is used for routine obstetric care including antepartum care, cesarean delivery, and postpartum care. The code is not reported per fetus but per delivery, even when delivering multiples.

60254 = Subtotal thyroidectomy for malignancy with radical neck dissection

60260 = Total thyroidectomy

60220 = Partial thyroidectomy, benign

60252 = Total thyroidectomy with radical neck dissection

The correct answer is A. In the back of the upper leg between the hip and thigh. The hamstrings are a group of muscles located in the posterior thigh, meaning the back portion of the upper leg. Anatomically, the hamstring group includes the biceps femoris, semitendinosus, and semimembranosus muscles. These muscles extend from the pelvis region toward the knee and are primarily responsible for knee flexion and assisting with hip extension. In coding and medical terminology, identifying the correct anatomical location is important because musculoskeletal diagnoses, injuries, repairs, injections, imaging, and rehabilitation services depend on accurate body-region terminology.

The other options describe incorrect anatomical areas. The front of the upper leg is the anterior thigh, mainly associated with the quadriceps muscles. The front of the lower leg refers to the shin or anterior leg compartment. The back of the lower leg is the calf region, which contains muscles such as the gastrocnemius and soleus, not the hamstrings.

Reference topics: CPC Medical Terminology and Anatomy — Musculoskeletal System; Lower Extremity Anatomy; Muscle Groups and Body Regions.

TSH testing is reported with CPT84443. The scenario describes a workup for possible thyroid dysfunction, but there isno confirmed thyroid diagnosisprovided—only symptoms (fatigue and weight gain). In outpatient coding, when a definitive diagnosis is not established, you code thesigns/symptomsthat justify the test. Therefore, the correct ICD-10-CM codes areR53.83(other fatigue) andR63.5(abnormal weight gain), as offered. You shouldnotassign a thyroid disorder code such asE07.9(unspecified disorder of thyroid) unless the provider documents an actual thyroid disorder diagnosis; suspicion alone does not support it in the outpatient setting. Options C and D list84445, which is not the standard CPT code for TSH measurement in CPC exam coding. This question is testing both correct lab code selection and the outpatient guideline principle of codingsymptomswhen the diagnosis is not confirmed. Hence,84443 with R53.83 and R63.5is correct.

The correct CPT® code for a therapeutic drug test to monitor the total level of carbamazepine is 80156. The ICD-10-CM code G40.909 is used for epileptic seizures, not otherwise specified, which aligns with the patient ' s condition being treated for seizures.

This question is testing recognition of amaxillofacial prosthetic servicerather than an ophthalmology procedure code. The vignette describesfabrication of a prosthesis using silicone materialswithmodificationsintended to restorecosmetic appearanceafter loss/damage of an eye. Among the provided options,21086is the CPT code that corresponds to fabrication of afacial prosthesis(commonly silicone-based) with the intent of external restoration. The other codes in this small cluster represent different facial/craniofacial repair or prosthetic services and do not match silicone prosthesis fabrication described in the scenario. CPC exam technique: focus on the key nouns—“fabricates a prosthesis,” “silicon materials,” “cosmetic appearance restoration”—which point away from repair codes and towardprosthetic fabrication. Also note the question is not about insertion of an ocular implant during enucleation/evisceration, but about crafting an external prosthetic device. Therefore, the correct selection is21086.

CPT® code 69644 refers to a tympanoplasty with mastoidectomy, which includes canalplasty, middle ear surgery, and tympanic membrane repair. The specific procedure described by this code is performed with an intact or reconstructed canal wall and includes ossicular chain reconstruction. The use of a semicolon in the CPT® description helps distinguish between different variations of the procedure.

AMA ' s CPT® Professional Edition, specific code descriptions and guidelines.